Organization
DILLARDS HEALTH HOME SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA DILLARD (EXECUTIVE DIRECTOR)
(314) 458-3038
Entity
Organization
Contact information
Practice address
111 W PORT PLZ, SAINT LOUIS, MO 63146-3011
(314) 458-3038
Mailing address
111 W PORT PLZ, SAINT LOUIS, MO 63146-3011
(314) 458-3038
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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